Name of Drug Classification/Action Indications Adverse Contraindications Nursing Parameters

Reactions Responsibility
Generic Classification: Indicated for Body as a Whole Hypersensitivity  Reassess  Anaphylactoid
Name: Analgesic the short- to tramadol, patient’s level reactions
term (five - Chest pain,
Tramadol opioids, or any of pain at  CNS depression
days or less) rigors, syncope,
Hydrocloride Action: component of the least 30  Seizures
managemen withdrawal
The mode of action t of acute
formulation; minutes after
Brand Name: of tramadol has yet syndrome opioid-dependent administratio
pain.
Ultram to be fully Cardiovascular patients; acute n.
understood, but it is Disorders- intoxication with  Monitor CV
Route of believed to work Hypertension, alcohol, and
Administration: through modulation hypnotics, respiratory
hypotension
I.V. of the noradrenergic centrally-acting status.
and serotonergic Central and analgesics,  Monitor
Dosage and systems in addition Peripheral opioids, or bowel and
Frequency: to its mild agonism of Nervous System - psychotropic bladder
50-100 mg the μ-opioid receptor. Ataxia, drugs function.
IM/IV every 4- The contribution of  Monitor
convulsions,
6 hr. Max: 400 non-opioid activity is patients at
mg daily. demonstrated by the hypertonia, risk for
analgesic effects of migraine, seizures.
tramadol not being involuntary
fully antagonised by muscle
the μ-opioid receptor contractions
antagonist naloxone
Gastrointestinal
System-
Dysphagia,
melena,tongue
edema
Hearing and
Vestibular
Disorders -
Tinnitus
Heart Rate and
Rhythm Disorders
- Arrhythmia,
palpitation,
tachycardia
Liver and Biliary
System - Hepatic
function abnormal
Metabolic and
Nutritional
Disorders -
Weight decrease
Psychiatric
Disorders -
Amnesia,
depersonalization,
depression, drug
abuse, emotional
lability,
hallucination,
impotence,
paroniria,
abnormal thinking
Red Blood Cell
Disorders -
Anemia
Respiratory
System -
Dyspnea